Jordan Andera, is a medicare enrolled "Social Worker - Clinical" provider in Waterloo, Iowa. His current practice location is
3362 University Ave, Waterloo, Iowa. You can reach out to his office (for appointments etc.) via phone at
(319) 235-6571.
Jordan Andera is licensed to practice in Iowa (license number 090264) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942695051.
Healthcare Provider's Profile
| Full Name | Jordan Andera |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 3362 University Ave, Waterloo, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1942695051
- Provider Enumeration Date: 04/06/2015
- Last Update Date: 12/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 1759819212
- Enrollment ID: I20250110003131
Medical Identifiers
Medical identifiers for Jordan Andera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942695051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 090264 (Iowa) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jordan Andera allows following entities to bill medicare on his behalf.
| Entity Name | Pathways Behavioral Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114950979
PECOS PAC ID: 3779582796
Enrollment ID: O20061220000159 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Andera is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Jordan Andera,
3362 University Ave,
Waterloo, IA 50701-2006
Ph: (319) 235-6571 | Jordan Andera,
3362 University Ave,
Waterloo, IA 50701-2006
Ph: (319) 235-6571 |
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